Kalona, IA · Washington County
★★★☆☆CMS 3/566 bedsNon-profitMedicaid
- Nurse hours
- 4.26 /day
- Staff turnover
- 46%
- Serious cites
- 0
Pleasantview Home runs about 66 certified beds in Kalona under nonprofit ownership, and its nurse staffing sits roughly 10% above the national average at 4.26 hours per resident day. Weekends dip about 10% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover lands at 46%, essentially matching the national figure, which means retention is ordinary rather than a standout strength. The current record shows six deficiencies, none at the harm level and none abuse-related, with the most recent inspection dated April 2026. Quality and staffing each earned four stars from CMS, while health inspections came in at three.
Hiawatha, IA · Linn County
★★★☆☆CMS 3/5109 bedsFor-profitMedicaid
- Nurse hours
- 3.98 /day
- Staff turnover
- 35%
- Serious cites
- 0
Hiawatha Care Center runs 109 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.98 hours per resident day, modestly above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover is 34.5%, meaningfully lower than the 45.8% national figure, which suggests a more stable workforce than many homes manage. The current record shows 10 deficiencies, one at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. CMS gives this home 3 stars for health inspections, 4 for quality measures, and 4 for staffing.
Ames, IA · Story County
★★★★★CMS 5/538 bedsFor-profitMedicaid
- Nurse hours
- 4.37 /day
- Staff turnover
- 55%
- Serious cites
- 0
Northridge Village runs lean in a way that mostly works. Nurse staffing sits at 4.37 hours per resident day, comfortably above the national average, and that shows up in its staffing rating. The catch is weekends, when coverage drops about 11% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays.
Turnover is the bigger flag: 54.7% annually against a national 45.8%, meaning more than half the nursing staff turned over in a year. Inspections came back recently and cleanly enough, with one deficiency serious enough to register as harm. Six deficiencies total, none tied to abuse.
Lamoni, IA · Decatur County
★★★★★CMS 5/543 bedsNon-profitMedicaid
- Nurse hours
- 3.63 /day
- Staff turnover
- 32%
- Serious cites
- 0
Lamoni Specialty Care runs 3.63 nurse hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage, so the daily help is thinner than average, especially Saturday and Sunday. That said, staff retention is strong: turnover sits at 32.3% against a national 45.8%, meaning the people caring for residents tend to stay. Inspections back that up, with a 5/5 health inspection rating, a 5/5 quality measure rating, and only 5 deficiencies on record, none at harm or jeopardy level, though one is abuse-related. The most recent inspection was February 19, 2026. This nonprofit's record is clean, but watch weekend staffing.
Zearing, IA · Story County
★★☆☆☆CMS 2/540 bedsFor-profitMedicaid
- Nurse hours
- 3.68 /day
- Staff turnover
- n/a
- Serious cites
- 0
Zearing Health Care runs 40 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.68 hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about another 10% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. The inspection record shows 8 deficiencies with none at harm or jeopardy level, though 3 are abuse-related, which is worth asking about directly. Quality measures score well, and the last inspection was recent. Small Iowa home, mostly solid numbers, with weekend coverage and those abuse citations as the real questions.
Cresco, IA · Howard County
★★★★★CMS 5/543 bedsNon-profitMedicaid
- Nurse hours
- 3.66 /day
- Staff turnover
- 29%
- Serious cites
- 0
Evans Senior Living Community runs 43 beds in Cresco under nonprofit ownership, and its inspection record is the strongest thing about it: one deficiency on file, nothing at the harm level, and a survey completed in August 2025. The staffing picture is more mixed. At 3.66 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 16% below its own weekday coverage, the stretch when families often notice less attention. What offsets that is retention: 28.9% turnover against a 45.8% national rate means the people caring for your relative are more likely to still be there next year. Low deficiencies, stable staff, slightly thin weekend hours.
Vinton, IA · Benton County
★★☆☆☆CMS 2/561 bedsNon-profitMedicaid
- Nurse hours
- 4.12 /day
- Staff turnover
- 40%
- Serious cites
- 0
The Vinton Lutheran Home runs a strong floor: 4.12 nurse staffing hours per resident day, roughly 7% above the national average, with turnover at 40% against a national 45.8%. Those are the numbers behind the top staffing rating. The problem sits in the inspection record. Thirteen deficiencies on file, two of them at harm or jeopardy level and one abuse-related, earned a 1 out of 5 inspection rating, and the most recent survey closed April 30, 2026. Weekend staffing also drops about 17% below its weekday level, so coverage thins exactly when families visit and issues tend to surface. Good people, thin margins on compliance. Ask about the plan to fix it.
Ossian, IA · Winneshiek County
★★☆☆☆CMS 2/546 bedsNon-profitMedicaid
- Nurse hours
- 4.63 /day
- Staff turnover
- 41%
- Serious cites
- 0
Ossian Care Center runs on 4.63 nurse hours per resident day, roughly a fifth more staffing than the national average, and turnover sits below the national rate. That combination is doing most of the work in its grade. The catch is weekends, when coverage drops about 18% from weekday levels, and a health inspection record carrying 19 deficiencies, three tied to abuse, though none reached harm or jeopardy. Inspectors were last in on January 22, 2026, and the 2/5 inspection rating is the weakest part of the file. The nursing care is there; the compliance history is the question mark.
Odebolt, IA · Sac County
★★★☆☆CMS 3/538 bedsNon-profitMedicaid
- Nurse hours
- 3.73 /day
- Staff turnover
- 31%
- Serious cites
- 0
Odebolt Specialty Care is a small nonprofit home, 38 beds, and its staffing picture is genuinely strong: 3.73 nurse hours per resident day, close to the national average, with weekend coverage running about 9% lighter than weekdays. Turnover sits at 31%, well below the 45.8% national figure, which matters for how well aides know the residents. The trouble is the inspection record: 20 deficiencies, three of them serious enough to put residents at risk of harm, and one fine of $14,433. The most recent inspection was March 12, 2026. Consistent hands, a thinner record on safety.
Bloomfield, IA · Davis County
★★★☆☆CMS 3/591 bedsFor-profitMedicaid
- Nurse hours
- 3.96 /day
- Staff turnover
- 32%
- Serious cites
- 0
Bloomfield Care Center runs 91 certified beds under corporate for-profit ownership, and the numbers here mostly hold up. Nurse staffing sits at 3.96 hours per resident day, a bit above the national average, and turnover of 31.8% is well below the 45.8% norm, that stability matters more than people realize. Weekend coverage does dip roughly 10% below weekday levels, so ask how that plays out on Saturdays. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with a November 2025 inspection that's still recent. Quality measures land mid-range, inspections and staffing both stronger. Worth a visit, with questions about weekend shifts.
Sheffield, IA · Franklin County
★★☆☆☆CMS 2/545 bedsNon-profitMedicaid
- Nurse hours
- 3.79 /day
- Staff turnover
- 36%
- Serious cites
- 0
Sheffield Care Center runs 45 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, so coverage thins out when families tend to visit. Turnover is 36.1%, better than the 45.8% national figure, which matters for consistency of care. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating, 14 deficiencies on record including 2 abuse-related, and three fines totaling $17,644. The most recent inspection was August 2025. Quality and staffing measures both rate 4 out of 5, so the clinical picture looks steadier than the survey history does.
Bancroft, IA · Kossuth County
★★★★★CMS 5/525 bedsFor-profitMedicaid
- Nurse hours
- 4.61 /day
- Staff turnover
- 39%
- Serious cites
- 0
Accura Healthcare of Bancroft runs about 4.61 nurse hours per resident day, roughly 19% above the national figure, and that staffing shows up in the numbers CMS cares about. Weekend coverage dips about 12% below weekday levels, so ask how that plays out on Saturdays. Staff turnover sits at 39.3%, better than the 45.8% national rate, which matters in a 25-bed home where residents know their caregivers by name. The current record shows seven deficiencies, none at the harm level and none abuse-related, with the last inspection in June 2025. Quality measure scores come in at 2 out of 5, the weakest part of the picture.
Aurelia, IA · Cherokee County
★★★☆☆CMS 3/541 bedsFor-profitMedicaid
- Nurse hours
- 3.79 /day
- Staff turnover
- 38%
- Serious cites
- 0
Accura Healthcare of Aurelia runs 41 certified beds under for-profit, limited-liability ownership in Cherokee County. Nurse staffing sits at 3.79 hours per resident day, slightly under the national average of 3.86, and weekends run about 11% thinner than weekdays, worth knowing if your family visits mainly on Saturdays and Sundays. Staff turnover is 37.8%, actually better than the 45.8% national figure, which suggests less churn than many peers. The current inspection record shows 14 deficiencies, including one at the harm or jeopardy level and two tied to abuse; the most recent inspection was January 29, 2026, so that record is fresh. Quality measures and staffing both earned 4 of 5 stars, while health inspections landed at 3.
Orange City, IA · Sioux County
★★★★★CMS 5/595 bedsGovernmentMedicaid
- Nurse hours
- 3.91 /day
- Staff turnover
- 34%
- Serious cites
- 0
Prairie Ridge is city-and-county owned in Orange City, and the staffing numbers are the strongest thing it has going. At 3.91 nurse hours per resident day, it sits just above the national average, and weekend coverage dips only about 8% below weekdays, smaller than what many homes run. Turnover is 34%, well under the 45.8% national figure, which matters for whether you see the same faces. The tradeoff shows up elsewhere: eight deficiencies on record, none at harm level but one abuse-related, and a 2/5 on quality measures. The last inspection was April 2025, so the record is fairly current.
De Witt, IA · Clinton County
★★★★☆CMS 4/570 bedsNon-profitMedicaid
- Nurse hours
- 4.06 /day
- Staff turnover
- 35%
- Serious cites
- 0
Fieldstone Of Dewitt runs on 4.06 nurse hours per resident day, a bit above the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Annual turnover sits at 34.9%, well below the 45.8% national figure, so the people caring for residents tend to stick around, which matters more than any single inspection score. The home carries four deficiencies on its current record, none at the harm level and none abuse-related, with a health inspection from July 2025. Quality measures land mid-range while staffing and inspections score higher.
Grundy Center, IA · Grundy County
★★★★★CMS 5/555 bedsNon-profitMedicaid
- Nurse hours
- 4.12 /day
- Staff turnover
- 33%
- Serious cites
- 0
Creekside runs on 4.12 nurse hours per resident day, roughly 7% above the national average, and its staff turnover of 33.3% is well below the 45.8% national figure, two signs of a stable, adequately staffed building. Weekend coverage dips about 7% from weekday levels, worth asking about if your family visits Saturdays or Sundays. The inspection record is thin: one deficiency total, none at harm level, none abuse-related, with the most recent survey in December 2025. The weaker spot is the 2/5 quality measure rating, so ask what specific clinical measures are dragging that down.
Dubuque, IA · Dubuque County
★★★★★CMS 5/560 bedsFor-profitMedicaid
- Nurse hours
- 4.32 /day
- Staff turnover
- 29%
- Serious cites
- 0
Mount Carmel Bluffs runs on 4.32 nurse hours per resident day, about 12 percent above the national average, and its staff tends to stay, 29 percent turnover against a national 45.8. That steadiness shows up in the inspection record: seven deficiencies, none at the harm level, none tied to abuse, with a survey completed in late February 2026. The trade-off is quality measures, where the home scores low despite the strong staffing. Weekend coverage slips roughly 10 percent below its own weekday level, so ask how that gap gets filled. It's a for-profit limited liability company with 60 beds.
Rockwell, IA · Cerro Gordo County
★★★★★CMS 5/540 bedsFor-profitMedicaid
- Nurse hours
- 4.38 /day
- Staff turnover
- 47%
- Serious cites
- 0
Rockwell Community Nursing Home runs on 4.38 nursing hours per resident day, roughly 13 percent more than the national average of 3.86, and that strength shows up in its five-star staffing rating. Weekend coverage slips about 15 percent below the home's own weekday level, so ask how that plays out on Saturdays and Sundays. One deficiency sits on the current record with nothing at the harm level and no abuse findings, following an inspection in September 2025, and staff turnover of 47.1 percent edges just past the 45.8 percent national figure, worth asking about, since consistency matters as much as raw hours.
Dubuque, IA · Dubuque County
★★★★☆CMS 4/5185 bedsNon-profitMedicaid
- Nurse hours
- 4.31 /day
- Staff turnover
- n/a
- Serious cites
- 0
Stonehill Care Center runs 4.31 nursing hours per resident per day, roughly 12% above the national average of 3.86, and that staffing shows up in its four-star rating. Weekend coverage dips about 10% below its own weekday level, which is common but worth knowing if you're visiting on a Saturday. The inspection record is clean where it counts: four total deficiencies, none at the harm or jeopardy level and none abuse-related, with a visit as recent as August 2025. As a nonprofit with 185 beds in Dubuque, it's working from a stable base. Families weighing options here are looking at a home that's solidly staffed and hasn't had serious trouble.
Mount Pleasant, IA · Henry County
★★★★☆CMS 4/549 bedsNon-profitMedicaid
- Nurse hours
- 5.31 /day
- Staff turnover
- 52%
- Serious cites
- 0
Park Place runs on a nonprofit model with 49 beds in Mount Pleasant, and the staffing numbers stand out: 5.31 nurse hours per resident day against a national average of 3.86. That's roughly a third more hands-on time than most homes, though weekends dip about 12% below its own weekday level, so coverage isn't perfectly even. Turnover sits at 51.9%, higher than the 45.8% national figure, which means new faces cycle through fairly often. The record shows 13 deficiencies, none at the harm or jeopardy level, but two tied to abuse, worth asking about directly. Inspectors last visited in May 2025.